Combined Therapy for Acne Scars
Primary Purpose
Atrophic Acne Scar
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alone
Nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alternating with microneedling with radiofrequency (Intracel, Perigee Medical, Redwood City, CA)
Sponsored by
About this trial
This is an interventional treatment trial for Atrophic Acne Scar focused on measuring Acne, Acne scar, Face, Microneedling, Intracel, Fraxel
Eligibility Criteria
Inclusion criteria
- Male or female in general good health ages 18 and older
- Fitzpatrick skin type I-VI
- Subject has completed an appropriately administered informed consent process which includes signing the IRB approved consent form
- Negative urine pregnancy test at baseline (if applicable)
- Willingness to have facial exams and digital photos performed of the face
- Moderate to severe atrophic acne scarring on the face per ECCA (échelle d'évaluation clinique des cicatrices d'acné) acne grading scale
- No change in estrogen releasing contraceptive method in 3 months, and no plans to change this contraceptive method during the course of the study
- No change in topical skin care
Female patients will be either of non-childbearing potential defined as:
- Having no uterus
No menses for at least 12 months. Or;
Women of childbearing potential (WOCBP) must agree to use an effective method of birth control during the course of the study, such as:
- Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device
- Intrauterine coil
- Bilateral tubal ligation
- Barrier method used with an additional form of contraception (e.g., sponge, spermicide or condom)
- Abstinence (If practicing abstinence must agree to use barrier method described above (4) if becomes sexually active).
- Vasectomized partner (Must agree to use barrier method described above (4) if becomes sexually active with non-vasectomized).
Exclusion criteria
- Presence of incompletely healed wound in treatment area
- Pregnant, planning pregnancy or breastfeeding during the course of the study
- Energy-based device treatment in the treatment area in the last 6 months
- Treatments with a dermal filler or biostimulatory agent in the treatment area within the past 12 months
- Recent use of topical tretinoin, adapalene, tazarotene, hydroquinone, imiquimod, 5-fluorouracil, ingenol mebutate, concentrated hydrogen peroxide or diclofenac to the face within the previous 2 weeks.
- Individuals who have had a chemical peel or microdermabrasion of the face within 30 days prior to enrollment in the study
- Co-existing potentially confounding skin condition within treatment area (e.g. eczema, psoriasis, XP, rosacea) or the presence of suspected BCC or SCC in treatment area at investigator's discretion
- Has skin with open wounds, excessively sensitive skin, neurotic excoriations, dermatitis or inflammatory rosacea in the treatment area
- Individuals with known allergies or sensitivities to any of the ingredients of any topical products being used in this study (a list of the products with active and excipients will be provided below)
- Individuals with active psoriasis, eczema, sunburn, excessive scarring, tattoos, or other skin condition on the face that would interfere with the assessments of this study
- Subjects who participated on another study within the last 30 days
- Subjects currently on or planning to participate in any type of research study at another facility or a doctor's office during this study
- Subjects with a predisposition to keloid formation following surgery
- Subjects on systemic steroids (e.g. prednisone, dexamethasone), or topical steroids on the face which should be rigorously avoided prior to and throughout the course of treatment
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Nonablative fractional laser alone
Nonablative fractional laser alternating with microneedling with radiofrequency
Arm Description
Outcomes
Primary Outcome Measures
Change in atrophic acne scar
The primary study endpoint will be clinical efficacy defined as change in atrophic acne scarring based on the ECCA grading scale and a 1-10 percentile scale.
Secondary Outcome Measures
Subject comfort level
During each treatment visit patients will be asked to grade pain of treatment on a pain visual analog scale.
Subjective change
Subjects will rate their perceived global change in acne scarring based on the subjected assessed global improvement scale.
Subject satisfaction
Subjects will rate satisfaction on a 1-5 scale.
Adverse events
To be recorded by treating physician after treatment.
Full Information
NCT ID
NCT05105334
First Posted
October 22, 2021
Last Updated
November 2, 2021
Sponsor
Goldman, Butterwick, Fitzpatrick and Groff
1. Study Identification
Unique Protocol Identification Number
NCT05105334
Brief Title
Combined Therapy for Acne Scars
Official Title
Combined Treatment With Nonablative Fractional Laser and Radiofrequency Microneedling for the Treatment of Acne Scars: A Prospective, Randomized, Split-Face Study
Study Type
Interventional
2. Study Status
Record Verification Date
October 2021
Overall Recruitment Status
Unknown status
Study Start Date
November 8, 2021 (Anticipated)
Primary Completion Date
May 8, 2022 (Anticipated)
Study Completion Date
July 8, 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Goldman, Butterwick, Fitzpatrick and Groff
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
Compare the effectiveness of nonablative fractional resurfacing to radiofrequency micrnoeedling for facial acne scars in all skin types
Detailed Description
Quantify and compare the effectiveness of nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alone to nonablative fractional laser alternating with microneedling with radiofrequency (Intracel, Perigee Medical, Redwood City, CA) for the treatment of atrophic, facial acne scars in all skin types.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrophic Acne Scar
Keywords
Acne, Acne scar, Face, Microneedling, Intracel, Fraxel
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Prospective, randomized, split-face, evaluator-blinded study
Masking
Outcomes Assessor
Masking Description
Clinical assessments and grading of severity of acne scarring will be performed by blinded-investigator assessment at each visit and at the post-treatment 3-month visit using live evaluations and photographs. At the 3-month follow up, three additional blinded dermatologists will clinically assess the severity of acne scarring.
Allocation
Randomized
Enrollment
20 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Nonablative fractional laser alone
Arm Type
Experimental
Arm Title
Nonablative fractional laser alternating with microneedling with radiofrequency
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
Nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alone
Intervention Description
Nonablative fractional 1550 nm erbium:glass laser. Settings: 40-70 mJ, treatment level 5-7 (14-20% coverage), 8 passes with cold air cooling (Zimmer MedizinSystems, Irvine, CA) set on level 5. To be repeated for a total of 4 sessions at 4-week intervals.
Intervention Type
Device
Intervention Name(s)
Nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alternating with microneedling with radiofrequency (Intracel, Perigee Medical, Redwood City, CA)
Intervention Description
Nonablative fractional 1550 nm erbium:glass laser. Settings: 40-70 mJ, treatment level 5-7 (14-20% coverage), 8 passes with cold air cooling (Zimmer MedizinSystems, Irvine, CA) set on level 5. This will be alternated with radiofrequency microneedling treatment will include 3 passes each at a depth of 2 mm, 1.5 mm, and 0.8 mm, treatment level 5 (32 w, 50 ms)-7 (40 w, 60 ms), monopolar setting with cold air cooling (Zimmer MedizinSystems, Irvine, CA) set on level 5. To be repeated for a total of 4 sessions (2 of each modality) at 4-week intervals.
Primary Outcome Measure Information:
Title
Change in atrophic acne scar
Description
The primary study endpoint will be clinical efficacy defined as change in atrophic acne scarring based on the ECCA grading scale and a 1-10 percentile scale.
Time Frame
3 months after final treatment
Secondary Outcome Measure Information:
Title
Subject comfort level
Description
During each treatment visit patients will be asked to grade pain of treatment on a pain visual analog scale.
Time Frame
To be done right after treatments
Title
Subjective change
Description
Subjects will rate their perceived global change in acne scarring based on the subjected assessed global improvement scale.
Time Frame
3 months after final treatment
Title
Subject satisfaction
Description
Subjects will rate satisfaction on a 1-5 scale.
Time Frame
3 months after final treatment
Title
Adverse events
Description
To be recorded by treating physician after treatment.
Time Frame
3 months after final treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria
Male or female in general good health ages 18 and older
Fitzpatrick skin type I-VI
Subject has completed an appropriately administered informed consent process which includes signing the IRB approved consent form
Negative urine pregnancy test at baseline (if applicable)
Willingness to have facial exams and digital photos performed of the face
Moderate to severe atrophic acne scarring on the face per ECCA (échelle d'évaluation clinique des cicatrices d'acné) acne grading scale
No change in estrogen releasing contraceptive method in 3 months, and no plans to change this contraceptive method during the course of the study
No change in topical skin care
Female patients will be either of non-childbearing potential defined as:
Having no uterus
No menses for at least 12 months. Or;
Women of childbearing potential (WOCBP) must agree to use an effective method of birth control during the course of the study, such as:
Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device
Intrauterine coil
Bilateral tubal ligation
Barrier method used with an additional form of contraception (e.g., sponge, spermicide or condom)
Abstinence (If practicing abstinence must agree to use barrier method described above (4) if becomes sexually active).
Vasectomized partner (Must agree to use barrier method described above (4) if becomes sexually active with non-vasectomized).
Exclusion criteria
Presence of incompletely healed wound in treatment area
Pregnant, planning pregnancy or breastfeeding during the course of the study
Energy-based device treatment in the treatment area in the last 6 months
Treatments with a dermal filler or biostimulatory agent in the treatment area within the past 12 months
Recent use of topical tretinoin, adapalene, tazarotene, hydroquinone, imiquimod, 5-fluorouracil, ingenol mebutate, concentrated hydrogen peroxide or diclofenac to the face within the previous 2 weeks.
Individuals who have had a chemical peel or microdermabrasion of the face within 30 days prior to enrollment in the study
Co-existing potentially confounding skin condition within treatment area (e.g. eczema, psoriasis, XP, rosacea) or the presence of suspected BCC or SCC in treatment area at investigator's discretion
Has skin with open wounds, excessively sensitive skin, neurotic excoriations, dermatitis or inflammatory rosacea in the treatment area
Individuals with known allergies or sensitivities to any of the ingredients of any topical products being used in this study (a list of the products with active and excipients will be provided below)
Individuals with active psoriasis, eczema, sunburn, excessive scarring, tattoos, or other skin condition on the face that would interfere with the assessments of this study
Subjects who participated on another study within the last 30 days
Subjects currently on or planning to participate in any type of research study at another facility or a doctor's office during this study
Subjects with a predisposition to keloid formation following surgery
Subjects on systemic steroids (e.g. prednisone, dexamethasone), or topical steroids on the face which should be rigorously avoided prior to and throughout the course of treatment
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sherif Mikhail, MD
Phone
8586571004
Email
research@clderm.com
First Name & Middle Initial & Last Name or Official Title & Degree
Andrea Pacheco
Phone
8586571004
Email
research@clderm.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nina Semsarzadeh, MD
Organizational Affiliation
Cosmetic Laser Dermatology
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
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Combined Therapy for Acne Scars
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